ST Elevation
Results:
Right Axis Deviation + STE DDx
Key Points RAD + ST-Segment Elevation: When you encounter right axis deviation (RAD) combined with ST-segment elevation (STE) on an ECG, it’s crucial to consider differential diagnoses beyond STEMI, as…
Interesting Cases from UMMC, Part II
A 58-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained:
Differential Diagnoses: ST segment elevation and short QTc interval
A 40-year-old male is brought into the ED with vomiting, body aches, chest discomfort and fatigue. The following ECG is obtained:
STAT ECG Diagnoses: STEMI mimics and how you can use the QRS axis to clinch the diagnosis in patients with altered mental status
A 46-year-old man presented with pleuritic left sided chest pain. He was found down for an unknown period of time, with suspicion for drug overdose. The following ECG was obtained:
EMS ECGs: opportunity to save lives prehospital by recognizing severe hyperkalemia
A 69-year-old man presents to the emergency department with palpitations. He is otherwise well. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)
A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)
A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Differential Diagnoses: diffuse ST segment elevation with a focus on left ventricular (LV) aneurysm
HPI: An elderly gentleman presents to the ED with diarrhea. He has no chest pain or dyspnea, and denies nausea or vomiting. He appears well. The following ECG was obtained…
Differential DIagnoses: tall R wave in lead V1
An 80-year-old man is brought in by ambulance to the ED for chest pain and dyspnea. He looks sick on exam and is found to be hypotensive, tachycardic, and tachypneic….
ECG findings in hypothermia
A 77-year-old male is brought into the ED after being found unconscious in his home. The following prehospital ECG was obtained and compared to an old normal ECG:
Differential Diagnoses: is this ECG pattern consistent with ACS or is there something else it could be?
A 59-year-old male with a PMHx of a HTN and anxiety presents the ED for progressive dyspnea on exertion over the past few weeks. He denies pain and appears comfortable….
STAT ECG Diagnoses: a peculiar pattern of ST segment elevation that is high risk for death!
A 64-year-old man with HTN and DM presents to the ED with chest pain that radiates to the right lower neck x 1 week. He also reports difficulty walking and…
Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 3/3)
HPI: A 60-year-old male with a history of CAD with a pacemaker presents to the ED with acute chest pain that radiates to the left arm. Pain is worse with…
STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss
A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s….
EMS ECGs: common mimics of acute coronary syndrome (ACS) and STEMI
A 73-year-old male is being transported by EMS to your ED for acute onset chest pain. He has a systolic blood pressure of 80. A prehospital ECG is obtained and…
Differential Diagnoses: how to use ECG differentials to clinch the diagnosis in sick patients
HPI: 64-year-old male smoker with a Hx of HTN, DM, COPD presents with lightheadedness and chest tightness. He has had flu like symptoms for the past week, that have been…
ECG Tags
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